Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $23.64 / $99.00	Facility		$11.21	$23.64	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.97 / $101.34	Professional		$11.82	$14.97	$101.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $104.01 / $169.48	Facility		$28.37	$104.01	$169.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $12.89 / $14.81	Professional		$9.67	$12.89	$14.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $10.24 / $10.24	Facility		$10.24	$10.24	$10.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $18.17 / $29.60	Professional		$9.97	$18.17	$29.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $18.91 / $30.83	Facility		$14.04	$18.91	$30.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $29.60	Professional		$15.76	$15.76	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $9.38 / $9.66	Professional		$6.62	$9.38	$9.66